广西壮族自治区男男性行为者对艾滋病非职业暴露后预防服务需求的定性研究

曾梓; 黎芝; 蓝光华; 刘惠; 徐杰; 殷文渊

doi:10.16462/j.cnki.zhjbkz.2018.12.017

广西壮族自治区男男性行为者对艾滋病非职业暴露后预防服务需求的定性研究

doi: 10.16462/j.cnki.zhjbkz.2018.12.017

曾梓¹,
黎芝¹,
蓝光华²,
刘惠³,
徐杰³,
殷文渊^3, ,

1. 贺州市疾病预防控制中心艾滋病防制科, 广西贺州 542899;
2. 广西壮族自治区疾病预防控制中心艾滋病防制所, 广西南宁 530028;
3. 中国疾病预防控制中心性病艾滋病预防控制中心, 北京昌平 102206

基金项目:

盖茨基金会资助（OPP1120190-201501011）

比尔及梅琳达·

详细信息

作者简介:
曾梓(1986-),男,广西钦州人,主管医师,硕士。主要研究方向:艾滋病防控。

中图分类号: R512.91
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出版历程
- 收稿日期: 2018-04-17
- 修回日期: 2018-09-13

Qualitative study on the demand for non-occupational post-exposure prophylaxis among MSM in Guangxi Zhuang Autonomous Region.

1. Department of HIV/AIDS prevention and control, Hezhou Center for Disease Control and Prevention, Hezhou 542899, China;
2. Department of HIV/AIDS prevention and control, Guangxi Provincial Center for Disease Control and Prevention, Nanning 530028, China;
3. National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China

摘要

摘要: 目的探讨艾滋病非职业暴露后预防（non-occupational post-exposure prophylaxis，nPEP）服务在男男性行为人群（men who have sex with men，MSM）中的需求及其相关影响因素，为我国今后开展针对MSM的nPEP服务提供依据。方法通过广西壮族自治区贺州市、柳州市和南宁市的MSM社区干预小组，以"滚雪球"方式招募MSM关键知情人，开展个人深入访谈。运用主题框架分析法分析资料，了解MSM对nPEP服务的需求、态度、动机和建议等。结果共访谈了25名MSM关键知情人，高危性行为在MSM中较为普遍，HIV暴露风险较高，16名访谈对象表示存在nPEP服务需求。影响nPEP服务需求的因素包括艾滋病感染风险认知、高危行为时有发生、nPEP服务价格以及药物副作用等。几乎所有访谈对象都认为应该在MSM中开展nPEP服务。结论 nPEP服务在MSM中存在一定的需求。除行为改变外，作为阻断艾滋病传播的生物医学补救措施，我国应尽快制定nPEP服务实施策略并开展相关服务，在一定程度上减少艾滋病的新发感染数。
- 非职业暴露后预防 /
- 男男性行为者 /
- 艾滋病
Abstract: Objective To investigate the demands and related factors of non-occupational post-exposure prophylaxis (nPEP) among men who have sex with men (MSM), so as to provide evidence-based information for expanding nPEP services in the future. Methods We recruited MSM key informants through the MSM community intervention group in Guangxi, and then carried out in-depth interviews. The data was analyzed using thematic framework analysis to understand the nPEP service demands, attitudes, motives and suggestions of MSM. Results A total of 25 MSM key informants were interviewed. The risk of HIV exposure was high among MSM due to unsafe sexual practices. 16 interviewees believed that nPEP was an undeniable necessity to them. Factors associated with the demand for nPEP included the self-awareness of HIV infection risk, uncertainty of being free of risky behavior, prices of nPEP service, drug side effects, etc. Almost all interviewees considered that nPEP service should be provided for MSM. Conclusion There is a certain demand for nPEP services among MSM. Besides behavioural changes, as a biomedical remedy to prevent the spread of HIV, nPEP services should be implemented as soon as possible in our country, in order to reduce the new infection of HIV/AIDS.
- Non-occupational Post-exposure Prophylaxis /
- MSM /
- HIV/AIDS